Job Recruitment Website - Social security inquiry - How long can Guangzhou Social Security pay for medical reimbursement?
How long can Guangzhou Social Security pay for medical reimbursement?
The basic medical insurance for employees shall be paid by both the employer and the employees, and the unit shall pay for the employees within one month from the date of employment. Insured persons who pay medical insurance premiums for employees in full and on time shall enjoy the corresponding medical insurance benefits for employees from the next month of payment.
The medical insurance reimbursement process is as follows:
1. When the applicant submits the application materials, the accepting department shall review the application materials within 5 days from the date of receiving the application materials and decide whether to accept them;
2. If the application materials are incomplete, inform the applicant of all the contents that need to be corrected at one time within the above 5 days;
3. The applicant shall make corrections within 5 days from the date of receiving the notice of correction of materials;
4, overdue correction, as the withdrawal of the application;
5. However, after the materials are corrected, the applicant may reapply within the statutory validity period;
6. After the Social Insurance Fund Administration has reviewed the materials and approved the application, the applicant will receive the reimbursement form for medical expenses of social medical insurance and be reimbursed.
The materials required for medical insurance reimbursement are as follows:
1, copy of ID card and medical insurance card;
2. A copy of the savings card or passbook of China Bank;
3, invoices (medical settlement documents reimbursement vouchers), medical expenses detailed summary list;
4. Copy of hospitalization medical records (including: medical record home page, admission records, long-term doctor's orders, temporary doctor's orders, discharge records or discharge summaries, main inspection results and operation records);
5. Discharge certificate;
6. When the accidental injury is reimbursed for hospitalization, it is necessary to provide the injury process certificate issued by the public security organ or the neighborhood committee of the injured place.
Medical insurance reimbursement conditions are as follows:
1, the applicant has gone through the insurance formalities and paid the medical insurance premium in full;
2, cooperative medical designated medical institutions for medical treatment;
3. The medical expenses incurred by the insured in hospitalization in medical institutions shall be paid in cash in advance, and relevant documents and materials shall be kept.
To sum up, the medical insurance paid by the unit can be reimbursed for hospitalization in the next month, while the medical insurance paid by the individual generally needs to be paid for more than half a year to enjoy the reimbursement treatment.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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